More articles from Review

  • What can patients expect from cataract surgery?
    Kathryn E. Bollinger, MD, PhD and Roger H. S. Langston, MD
    Cleveland Clinic Journal of Medicine March 2008, 75 (3) 193-200;

    Cataract surgery has evolved into an outpatient procedure that requires minimal anesthesia and significantly improves vision for about 90% of patients.

  • Preventing a first episode of esophageal variceal hemorrhage
    Preventing a first episode of esophageal variceal hemorrhage
    Saira Khaderi, MD, MPH and David Barnes, MD
    Cleveland Clinic Journal of Medicine March 2008, 75 (3) 235-244;

    Because variceal hemorrhage is a medical emergency in which up to 20% of patients die, the best strategy is to try to prevent the first episode of bleeding.

  • Red eye for the internist: When to treat, when to refer
    Anat Galor, MD and Bennie H. Jeng, MD
    Cleveland Clinic Journal of Medicine February 2008, 75 (2) 137-144;

    We review the conditions that can cause this ocular sign—the ones that internists can comfortably manage, and the ones that are best managed by an eye specialist.

  • Preventing and managing diabetic complications in elderly patients
    Thomas Hornick, MD and David C. Aron, MD, MS
    Cleveland Clinic Journal of Medicine February 2008, 75 (2) 153-158;

    Elderly patients with diabetes are prone to a number of complications, some of which take precedence over, hinder, or preclude the intensive glucose control recommended for younger diabetic patients.

  • Nephrogenic systemic fibrosis and its association with gadolinium exposure during MRI
    Naim Issa, MD, Emilio D. Poggio, MD, Richard A. Fatica, MD, Rajiv Patel, MD, Paul M. Ruggieri, MD and Robert J. Heyka, MD
    Cleveland Clinic Journal of Medicine February 2008, 75 (2) 95-111;

    This debilitating disorder can lead to serious complications and death. In patients with renal dysfunction, we should use gadolinium-based imaging studies with caution.

  • Screen for portopulmonary hypertension, especially in liver transplant candidates
    Karen L. Swanson, DO and Michael J. Krowka, MD
    Cleveland Clinic Journal of Medicine February 2008, 75 (2) 121-136;

    Portopulmonary hypertension should be looked for in patients with liver disease, especially if liver transplantation is being considered, as it may make transplantation riskier to perform.

  • CT imaging for acute aortic syndrome
    CT imaging for acute aortic syndrome
    Andrew D. Smith, MD, PhD and Paul Schoenhagen, MD
    Cleveland Clinic Journal of Medicine January 2008, 75 (1) 7-24;

    Advances in computed tomography (CT) have made the diagnosis of acute aortic syndromes faster and easier.

  • Masquerade: Nonspinal musculoskeletal disorders that mimic spinal conditions
    Dhruv B. Pateder, MD, John Brems, MD, Isador Lieberman, MD, FRCS(C), Gordon R. Bell, MD and Robert F. McLain, MD
    Cleveland Clinic Journal of Medicine January 2008, 75 (1) 50-56;

    Sometimes pain in the neck or back is caused by a problem in the shoulder, hip, or extremities. Common mimics are rotator cuff tear, bursitis in the hip, peripheral nerve compression, and arthritis in the shoulder and hip.

  • Managing diabetes in the elderly: Go easy, individualize
    Thomas Hornick, MD and David C. Aron, MD, MS
    Cleveland Clinic Journal of Medicine January 2008, 75 (1) 70-78;

    Especially in frail, elderly patients, strict glycemic control should be emphasized less than avoiding malnutrition and hypoglycemia and achieving the best quality of life possible.

  • Primary care diagnosis of alpha-1 antitrypsin deficiency: Issues and opportunities
    James K. Stoller, MD, MS, Leonard Fromer, MD, Mark Brantly, MD, James Stocks, MD and Charlie Strange, MD
    Cleveland Clinic Journal of Medicine December 2007, 74 (12) 869-874;

    Alpha-1 antitrypsin deficiency, which predisposes to emphysema and also to liver disease, is underrecognized. We hope to stimulate our colleagues to watch for this condition and to find ways to incorporate testing for it into regular clinical practice.

Pages